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In Western societies, human existence and illness are mostly constructed from the perspective of mind-body dualism: body and mind are considered to function independently, and the body/the physical as primary and more real. Research shows, however, that mind-body dualism is no longer tenable, especially in healthcare contexts. This led to the rise the biopsychosocial model, in which bodily experiences, including illness, are seen an interplay of the physical and the psychological, and the social. This model is the current gold standard for treating chronic pain. As these perspectives on the body and illness are potentially conflicting, and discursively constructed, this paper examines whether they are a source of misalignment in interactions between chronic pain patients and their doctors in a pain clinic. The analysis shows these perspectives indeed lead to misalignment, for instance when discussing the relevance of psychotherapy, and lead to intricate uses of argumentative resources to account for the differing perspectives on (the treatment of) pain. [ABSTRACT FROM AUTHOR]

With this study protocol, we present our approach to collaboratively coding metaphors in medical consultations, using the qualitative analysis software package ATLAS.ti. This project came with a number of challenges but also yielded a coded data set that was rich and versatile, and allowed for a wide array of analyses. We therefore believe it can be of interest to share the details of the process, to (1) provide an hands-on approach to qualitative, collaborative (metaphor) coding, and (2) contribute to our understanding and the advancement of qualitative methods in relation to coding metaphors, and coding more generally. The protocol can be of interest for researchers interested in collaborative qualitative coding, of metaphors or other (linguistic) units, using software. We specifically describe how we set up our initial coding system, and how we further developed it inductively; how we dealt with the fuzziness of metaphors; how we approach cleaning between coding rounds; how we divided work over and collaborated as a team of three coders with different but related cultural and linguistic backgrounds; how we structured our documentation and logbook. We then discuss how this set of guidelines complements the theoretical literature and more general guidelines on (metaphor) coding, and on reliability and validity in qualitative research. We will reflect on both a number of logistic and practical issues, as well as methodological and empirical challenges, and advantages and disadvantages of our approach. [ABSTRACT FROM AUTHOR]

This article examines the Twitter and Facebook uptake of health messages from an infotainment TV show on food, as broadcasted on Belgium's Dutch-language public broadcaster. The interest in and amount of health-related media coverage is rising, and this media coverage is an important source of information for laypeople, and impacts their health behaviours and therapy compliance. However, the role of the audience has also changed; consumers of media content increasingly are produsers, and, in the case of health, expert consumers. To explore how current audiences react to health claims, we have conducted a quantitative and qualitative content analysis of Twitter and Facebook reactions to an infotainment show about food and nutrition. We examine (1) to which elements in the show the audience reacts, to gain insight in the traction the nutrition-related content generates and (2) whether audience members are accepting or resisting the health information in the show. Our findings show that the information on health and production elicit the most reactions, and that health information incites a lot of refutation, low acceptance and a lot of suggestions on new information or new angles to complement the show's information. [ABSTRACT FROM AUTHOR]

This article explores how power dynamics between informants and field researchers shape ethnographic data construction, drawing on fieldwork at a pharmaceutical company. Pharmaceutical companies are considered elite settings, and often assumed to be powerful in relation to the researcher and dominating the data construction. However, such a view conceptualizes power in terms of fixed categories, in which there is a superior and subordinate position. We reconsider the impact of elite informants in the light of a constructivist, interactionist view on power, in which power is dynamic and not necessarily entailing domination. We answer the following research questions: (1) How can we observe power dynamics, as conceptualized in a constructionist and interaction orientation, in ethnographic research? and (2) How can we reflect on what these power dynamics mean for data construction, based on our experiences in elite settings? To do so, we make use of discursive and interactional analytic methods and propose three levels of analysis: (1) the level of conversation, (2) the level of ethnography, and (3) the level of the organization in society. They respectively shed light on power in relation to (1) what is said and how, (2) the meanings attached to the ethnographic events, and (3) the meaning of the ethnography in relation to the discourses on the organization in society. With this article, we aim to provide researchers with a methodological tool to approach and to reflect on the significance of power relations in the context of ethnography and interviewing and its impact on data construction. [ABSTRACT FROM AUTHOR]